trailer < Both are independent licensees of the Blue Cross and Blue Shield Association. 0000007569 00000 n 2020 Preferred Formulary Check often for updates, as this list is subject to change. 0000003367 00000 n 0000002257 00000 n We require you to get prior authorization for certain drugs. 0000001645 00000 n 0000016010 00000 n 0000001428 00000 n 0000012624 00000 n 0000020992 00000 n 2020 Express Scripts National Preferred Formulary List The 2020 National Preferred Formulary drug list is shown below. Download 2020 Prescription Drug Formulary Change Notice (all plans) Restrictions on Coverage. These requirements and limits may include: Prior Authorization. 0000044078 00000 n our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above.

our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. 0000037586 00000 n 0000004155 00000 n 0000001016 00000 n 0000002463 00000 n 0000003844 00000 n 2020 List of Covered Drugs (FORMULARY) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Blue Advantage (HMO) and Blue Advantage (PPO) Blue Advantage (HMO) | Blue Advantage (PPO) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOENTCUM CONTAINS INFORMATION … OGB Pharmacy Benefits Program Full Formulary Administered by MedImpact April 2020 Foreword A formulary is a list of both generic and brand-name prescription drugs that are preferred by a prescription drug program. 0000004737 00000 n 0000028001 00000 n Blue Cross and Blue Shield of Kansas Formulary for BlueCare/EPO September 2020 II Your prescription drug benefit may require you to use AllianceRx Walgreens Prime to be eligible for in-network specialty benefits. 0000003572 00000 n 0000004380 00000 n 1-877-723-7702 (TTY 711). HPMS . Our call center is open Monday-Friday … seven (7) days a week. 2020 Preferred Formulary. Some covered drugs may have requirements or limits on coverage.

0000004954 00000 n

The drugs in this formulary are listed by common categories, then alphabetically. The following list is not a complete list of over-the-counter [OTC] products and prescription medical supplies that are on the formulary.

This means these drugs will remain available at the same cost-sharing and with no new restrictions for those members taking them for the remainder of the coverage year. You can find out if your drug has any of these by looking in the formulary. If you have questions about your specialty pharmacy benefit, please call the phone number on the back of your ID card. 0000001565 00000 n 0000009372 00000 n 0000005658 00000 n 0000009110 00000 n Prescription Drug Formulary 2020.

Both are independent licensees of the Blue Cross and Blue Shield Association.

0000042037 00000 n 0000005070 00000 n We are available . 0000002896 00000 n Understanding the Formulary Drug List. 0000035367 00000 n Louisiana, incorporated as Louisiana Health Service & Indemnity Co., offers Blue Advantage (PPO). Prescription Drug Formulary . 71 0 obj <> endobj xref 71 36 0000000016 00000 n 0000005295 00000 n Approved Formulary File ID: 00020122 Effective January 2020 For more recent information or other questions, contact us at .

Louisiana, incorporated as Louisiana Health Service & Indemnity Co., offers Blue Advantage (PPO).

0000011074 00000 n They’re placed into cost 0000042178 00000 n 0000005426 00000 n The formulary is the list of drugs included in your prescription plan.

0000032694 00000 n This formulary drug list will help you understand the drugs your plan covers. 0000002069 00000 n 0000014340 00000 n Inclusion on the list does not guarantee coverage. This means these drugs will remain available at the same cost‑sharing and with no new restrictions for those members taking them for the remainder of the coverage year. 2020. Blue Advantage (HMO) and Blue Advantage (PPO) Blue Advantage (HMO) | Blue Advantage (PPO) 2020 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT COAINSNT INFORMATION … 0000044290 00000 n %PDF-1.5 %����

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